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▎WuXi AppTec content team editorial salt is an indispensable condiment in our daily life
.
If there is no salt, the whole meal will become tasteless; and the sodium in salt is also an essential trace element for the human body
.
The Dietary Guidelines for Chinese Residents (2016) recommends that adults eat no more than 6 g of salt per day
.
However, eating too much salt and eating too much salt will bring a series of health hazards, such as increasing the risk of cardiovascular diseases such as high blood pressure, heart disease, and stroke
.
But, you know what? Eating more salt can also affect blood sugar control in people with type 2 diabetes
.
Eating more salt is associated with higher levels of fasting blood sugar and higher levels of fasting blood sugar in people with type 2 diabetes, according to a new study published in Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.
Glycated hemoglobin (HbA1c)
.
Image source: 123RF HbA1c is the "gold standard" for clinical assessment of long-term glycemic control
.
The "China Guidelines for the Prevention and Treatment of Type 2 Diabetes (2020 Edition)" recommends that for most non-pregnant adults with type 2 diabetes, the reasonable target of glycated hemoglobin control is <7%
.
But in fact, among the more than 100 million diabetic patients in China, the blood sugar control rate is only 49.
2%, that is, more than half of the diabetic patients do not meet the blood sugar control standard
.
If blood sugar is not well controlled, as the disease progresses, long-term hyperglycemia can be harmful to the health and life of patients, such as acute complications that can cause multiple organs (such as diabetic ketoacidosis, hyperglycemic hyperosmolar state) and Chronic complications (such as diabetic nephropathy, diabetic retinopathy, diabetic foot), especially the eyes, heart, blood vessels, kidneys, nerves, etc.
, lead to organ insufficiency or failure, resulting in disability or premature death
.
In the new study, the researchers studied 1,145 Chinese patients with type 2 diabetes
.
The mean age of all patients was 51.
4 years, the mean duration of type 2 diabetes was 7.
5 years, and 65.
2% were male
.
The researchers counted the dietary information of all patients to assess their daily salt intake and divided them into 3 groups: ≤6 g daily salt group; 6 g-8 g daily salt group; daily salt ≥ 6 g 8 g group
.
At the same time, the researchers also collected information such as height, weight, smoking status, and alcohol consumption of all patients, and measured their fasting blood sugar, glycated hemoglobin, 2-hour postprandial blood sugar, fasting insulin, blood pressure, total cholesterol and other indicators levels
.
Image source: 123RF The researchers found that among all patients, 3/4 of the people ate more than 6 g of salt per day: 38.
7% of them ate 6 g-8 g of salt per day; 36.
3% of them ate ≥ 8 g of salt per day
.
Only 25% of people eat ≤6 g of salt per day, which is in line with the guideline recommendation
.
At the same time, the average levels of glycosylated hemoglobin and fasting blood glucose of patients in the group eating salt ≤ 6 g per day were lower than those in the group eating salt 6 g-8 g per day and the group eating salt ≥ 8 g per day: the group eating salt ≤ 6 g per day , the average level of glycated hemoglobin was 7.
6%, and the average level of fasting blood glucose was 8.
1 mmol/L; the average level of glycated hemoglobin was 8.
2%, and the average level of fasting blood glucose was 8.
7 mmol/L in the 6 g-8 g salt group; In the ≥8 g group, the average glycated hemoglobin level was 8.
4%, and the average fasting blood glucose level was 8.
9 mmol/L
.
After accounting for factors such as age, gender, life>
.
Compared with the patients who ate ≤ 6 g of salt per day, the average levels of glycated hemoglobin increased by 0.
44% and 0.
67% in the patients in the 6 g-8 g salt group and ≥ 8 g/group, respectively; increased by 1.
4 mmol/L and 2.
3 mmol/L
.
In addition, the results of the study also showed that the prevalence of overweight, central obesity, hypertension, hyperlipidemia, hyperuricemia and coronary heart disease was also higher in patients who ate 6 g-8 g salt per day and ≥ 8 g/group.
higher
.
Image source: 123RF researchers analyzed that higher salt intake may increase blood sugar levels by inhibiting the activity of the renin-angiotensin-aldosterone system, stimulating sympathetic nerve activity and insulin resistance, etc.
, thereby increasing type 2 Diabetes development, risk of complications
.
However, the relevant mechanism has not been fully clarified, and more research is needed to explore and confirm
.
Because the study was observational, it only showed that eating more salt was associated with higher fasting blood sugar and HbA1c levels, and did not suggest a cause-and-effect relationship
.
Moreover, the study also has some limitations.
For example, the intake of salt is only a dietary source, and it is difficult to obtain an accurate value for the intake of hidden salt, which may also affect the results of the study.
.
The study concluded that the relationship between eating more salt and high blood pressure, as well as the need for diabetics to reduce sugar intake to control blood sugar, is well known among Chinese people
.
However, little attention has been paid to the effect of eating more salt on blood sugar control in diabetic patients
.
The findings of this study tell us that people with diabetes should pay more attention to eating less salt in order to better control their blood sugar
.
In order to reduce the intake of salt, you can try these tips in daily life: reduce the use of high-salt seasonings, and use onion, ginger, garlic, pepper, star anise, pepper, lemon and other rich-flavored ingredients or seasonings to enrich the taste of food ; Do not use too many other condiments or foods with high sodium content, such as monosodium glutamate, chicken essence, bean paste, pickles, mustard, fermented bean curd, etc.
; when cooking, only add a little salt before the dishes are cooked, which can effectively reduce the amount of salt used , without reducing the "salty" taste of the food; if you want to add salt, use a salt control spoon as a measuring tool to control how much salt you add to prevent eating too much salt; to retain the natural taste of the ingredients, you don't need to add too much salt to increase the taste ; Meat should not be too much, because meat is cooked with more salt, and vegetables are not easy to absorb salt; when using pickles as ingredients, you can rinse or soak with water first
.
Image source: 123RF It should be noted that if diabetic patients want to better control blood sugar, it is not enough to eat less salt.
They should also pay attention to their overall eating habits, exercise regularly, do not smoke, and do not drink alcohol.
At the same time, under the guidance of medical staff Take blood sugar-lowering drugs
.
Only a multi-pronged approach will make it more likely to achieve sugar control goals, eliminate diabetes symptoms, prevent acute and chronic complications, improve quality of life, and prolong life
.
Recommended reading 2/3 of patients do not know they have the disease; half of the patients have substandard blood sugar control! It is the main cause of blindness in Chinese, how to prevent it? Listen to your body is talking about insulin resistance! Diabetes can be relieved! A consensus suitable for Chinese people is released, recommending these 5 methods Shanghai Ruijin Hospital Research: These 12 risk factors increase the risk of diabetes! How many do you have? Reference [1] Yi Lin, et al.
, (2021).
Association Between Dietary Salt and Plasma Glucose, Insulin and Hemoglobin A1c Levels Among Type 2 Diabetes Patients in Eastern China.
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, DOI : https://doi.
org/10.
2147/DMSO.
S338915.
[2] Diabetes Society of Chinese Medical Association, (2021).
Guidelines for the Prevention and Treatment of Type 2 Diabetes in China (2020 Edition).
Chinese Journal of Diabetes, DOI: 10.
3760/cma.
j.
cn l 15791-20210221-00095.
[3] New ADA Care Standards in Diabetes; FDA Clears AI-Based Diagnostic; Cannabis and T1D— News and commentary from the endocrinology world.
Retrieved Dec 30 ,2021, from https:// Disclaimer: The WuXi AppTec content team focuses on introducing global biomedical health research progress
.
This article is for information exchange purposes only.
The views expressed in this article do not represent WuXi AppTec's position, nor do they represent WuXi AppTec's support or opposition to the views expressed in the article. .
This article is also not a treatment plan recommendation
.
For guidance on treatment options, please visit a regular hospital
.
.
If there is no salt, the whole meal will become tasteless; and the sodium in salt is also an essential trace element for the human body
.
The Dietary Guidelines for Chinese Residents (2016) recommends that adults eat no more than 6 g of salt per day
.
However, eating too much salt and eating too much salt will bring a series of health hazards, such as increasing the risk of cardiovascular diseases such as high blood pressure, heart disease, and stroke
.
But, you know what? Eating more salt can also affect blood sugar control in people with type 2 diabetes
.
Eating more salt is associated with higher levels of fasting blood sugar and higher levels of fasting blood sugar in people with type 2 diabetes, according to a new study published in Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.
Glycated hemoglobin (HbA1c)
.
Image source: 123RF HbA1c is the "gold standard" for clinical assessment of long-term glycemic control
.
The "China Guidelines for the Prevention and Treatment of Type 2 Diabetes (2020 Edition)" recommends that for most non-pregnant adults with type 2 diabetes, the reasonable target of glycated hemoglobin control is <7%
.
But in fact, among the more than 100 million diabetic patients in China, the blood sugar control rate is only 49.
2%, that is, more than half of the diabetic patients do not meet the blood sugar control standard
.
If blood sugar is not well controlled, as the disease progresses, long-term hyperglycemia can be harmful to the health and life of patients, such as acute complications that can cause multiple organs (such as diabetic ketoacidosis, hyperglycemic hyperosmolar state) and Chronic complications (such as diabetic nephropathy, diabetic retinopathy, diabetic foot), especially the eyes, heart, blood vessels, kidneys, nerves, etc.
, lead to organ insufficiency or failure, resulting in disability or premature death
.
In the new study, the researchers studied 1,145 Chinese patients with type 2 diabetes
.
The mean age of all patients was 51.
4 years, the mean duration of type 2 diabetes was 7.
5 years, and 65.
2% were male
.
The researchers counted the dietary information of all patients to assess their daily salt intake and divided them into 3 groups: ≤6 g daily salt group; 6 g-8 g daily salt group; daily salt ≥ 6 g 8 g group
.
At the same time, the researchers also collected information such as height, weight, smoking status, and alcohol consumption of all patients, and measured their fasting blood sugar, glycated hemoglobin, 2-hour postprandial blood sugar, fasting insulin, blood pressure, total cholesterol and other indicators levels
.
Image source: 123RF The researchers found that among all patients, 3/4 of the people ate more than 6 g of salt per day: 38.
7% of them ate 6 g-8 g of salt per day; 36.
3% of them ate ≥ 8 g of salt per day
.
Only 25% of people eat ≤6 g of salt per day, which is in line with the guideline recommendation
.
At the same time, the average levels of glycosylated hemoglobin and fasting blood glucose of patients in the group eating salt ≤ 6 g per day were lower than those in the group eating salt 6 g-8 g per day and the group eating salt ≥ 8 g per day: the group eating salt ≤ 6 g per day , the average level of glycated hemoglobin was 7.
6%, and the average level of fasting blood glucose was 8.
1 mmol/L; the average level of glycated hemoglobin was 8.
2%, and the average level of fasting blood glucose was 8.
7 mmol/L in the 6 g-8 g salt group; In the ≥8 g group, the average glycated hemoglobin level was 8.
4%, and the average fasting blood glucose level was 8.
9 mmol/L
.
After accounting for factors such as age, gender, life>
.
Compared with the patients who ate ≤ 6 g of salt per day, the average levels of glycated hemoglobin increased by 0.
44% and 0.
67% in the patients in the 6 g-8 g salt group and ≥ 8 g/group, respectively; increased by 1.
4 mmol/L and 2.
3 mmol/L
.
In addition, the results of the study also showed that the prevalence of overweight, central obesity, hypertension, hyperlipidemia, hyperuricemia and coronary heart disease was also higher in patients who ate 6 g-8 g salt per day and ≥ 8 g/group.
higher
.
Image source: 123RF researchers analyzed that higher salt intake may increase blood sugar levels by inhibiting the activity of the renin-angiotensin-aldosterone system, stimulating sympathetic nerve activity and insulin resistance, etc.
, thereby increasing type 2 Diabetes development, risk of complications
.
However, the relevant mechanism has not been fully clarified, and more research is needed to explore and confirm
.
Because the study was observational, it only showed that eating more salt was associated with higher fasting blood sugar and HbA1c levels, and did not suggest a cause-and-effect relationship
.
Moreover, the study also has some limitations.
For example, the intake of salt is only a dietary source, and it is difficult to obtain an accurate value for the intake of hidden salt, which may also affect the results of the study.
.
The study concluded that the relationship between eating more salt and high blood pressure, as well as the need for diabetics to reduce sugar intake to control blood sugar, is well known among Chinese people
.
However, little attention has been paid to the effect of eating more salt on blood sugar control in diabetic patients
.
The findings of this study tell us that people with diabetes should pay more attention to eating less salt in order to better control their blood sugar
.
In order to reduce the intake of salt, you can try these tips in daily life: reduce the use of high-salt seasonings, and use onion, ginger, garlic, pepper, star anise, pepper, lemon and other rich-flavored ingredients or seasonings to enrich the taste of food ; Do not use too many other condiments or foods with high sodium content, such as monosodium glutamate, chicken essence, bean paste, pickles, mustard, fermented bean curd, etc.
; when cooking, only add a little salt before the dishes are cooked, which can effectively reduce the amount of salt used , without reducing the "salty" taste of the food; if you want to add salt, use a salt control spoon as a measuring tool to control how much salt you add to prevent eating too much salt; to retain the natural taste of the ingredients, you don't need to add too much salt to increase the taste ; Meat should not be too much, because meat is cooked with more salt, and vegetables are not easy to absorb salt; when using pickles as ingredients, you can rinse or soak with water first
.
Image source: 123RF It should be noted that if diabetic patients want to better control blood sugar, it is not enough to eat less salt.
They should also pay attention to their overall eating habits, exercise regularly, do not smoke, and do not drink alcohol.
At the same time, under the guidance of medical staff Take blood sugar-lowering drugs
.
Only a multi-pronged approach will make it more likely to achieve sugar control goals, eliminate diabetes symptoms, prevent acute and chronic complications, improve quality of life, and prolong life
.
Recommended reading 2/3 of patients do not know they have the disease; half of the patients have substandard blood sugar control! It is the main cause of blindness in Chinese, how to prevent it? Listen to your body is talking about insulin resistance! Diabetes can be relieved! A consensus suitable for Chinese people is released, recommending these 5 methods Shanghai Ruijin Hospital Research: These 12 risk factors increase the risk of diabetes! How many do you have? Reference [1] Yi Lin, et al.
, (2021).
Association Between Dietary Salt and Plasma Glucose, Insulin and Hemoglobin A1c Levels Among Type 2 Diabetes Patients in Eastern China.
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, DOI : https://doi.
org/10.
2147/DMSO.
S338915.
[2] Diabetes Society of Chinese Medical Association, (2021).
Guidelines for the Prevention and Treatment of Type 2 Diabetes in China (2020 Edition).
Chinese Journal of Diabetes, DOI: 10.
3760/cma.
j.
cn l 15791-20210221-00095.
[3] New ADA Care Standards in Diabetes; FDA Clears AI-Based Diagnostic; Cannabis and T1D— News and commentary from the endocrinology world.
Retrieved Dec 30 ,2021, from https:// Disclaimer: The WuXi AppTec content team focuses on introducing global biomedical health research progress
.
This article is for information exchange purposes only.
The views expressed in this article do not represent WuXi AppTec's position, nor do they represent WuXi AppTec's support or opposition to the views expressed in the article. .
This article is also not a treatment plan recommendation
.
For guidance on treatment options, please visit a regular hospital
.
